Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $539.66 / $618.16 / $1,139.48	Facility		$539.66	$618.16	$1,139.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $500.47 / $559.29 / $853.65	Professional		$500.47	$559.29	$853.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $854.46 / $872.42 / $1,163.23	Professional		$854.46	$872.42	$1,163.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $880.88 / $924.92 / $4,066.14	Facility		$880.88	$924.92	$4,066.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $670.59 / $742.43 / $1,223.28	Professional		$670.59	$742.43	$1,223.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $952.31	Facility		$812.83	$812.83	$952.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $593.37 / $593.37 / $901.18	Professional		$593.37	$593.37	$901.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $395.76 / $880.88 / $3,899.19	Facility		$395.76	$880.88	$3,899.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $494.39 / $712.41 / $1,735.72	Professional		$494.39	$712.41	$1,735.72
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $1,090.22 / $1,090.22 / $1,090.22	Professional		$1,090.22	$1,090.22	$1,090.22
United Facility/Professional Professional Modifier Low / Median / High Price $474.94 / $712.41 / $1,209.30	Professional		$474.94	$712.41	$1,209.30